Individual
MISTY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 EDINBORO RD, EDINBORO, PA 16412-6016
(814) 734-4541
Mailing address
12650 EDINBORO RD, EDINBORO, PA 16412-6016
(814) 734-4541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012100
PA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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